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General NPI Number Information
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NPI Number | 1548603939
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Entity Type | Organization
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Legal Business Name | INSTITUTIONAL EYE CARE
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Dates
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Enumeration Date | 04/16/2013
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Last Update Date | 04/16/2013
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Provider Practice Location Address
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Address Line | 41 S 3RD ST
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City | LEWISBURG
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State | PA
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Zip | 17837-1944
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Country | US
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Telephone | 866-604-2931
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Fax | 570-524-2817
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Provider Business Mailing Address
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Address Line | 2120 HIGHVIEW RD
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City | CLEARFIELD
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State | PA
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Zip | 16830-1105
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Country | US
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Telephone | 814-592-4915
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Fax |
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Authorized Official
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Title or Position | OPTHALMIC TECH
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Name | MS. AMY KAY KANOUR
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Credential |
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Telephone | 814-592-4915
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1101X
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Taxonomy Name | Ophthalmic Assistant
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License Number |
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License Number State |
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